Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Beatrice Boepple Mattaway, ERYT500

Individual provider Athletic Trainer · NPI 1124668413

Mrs. Beatrice Boepple Mattaway, ERYT500 is an Athletic Trainer in Bardonia, New York. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

17 Whispering Ct
Bardonia, NY 10954-1624
Phone: (914) 588-4066
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1124668413
Entity typeIndividual (Type 1)
GenderFemale
Credentials ERYT500
Sole proprietorYes
NPI enumeratedJanuary 14, 2020
Last updated in NPPESJanuary 14, 2020
Certification dateJanuary 14, 2020

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